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Rebellion in EM 2019: 3 Things That Have Changed the Way I Intubate

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domingo, 6 de mayo de 2012

Coagulopatías adquiridas

Blood component support in acquired coagulopathic conditions:
Is there a method to the madness?
Pandit T & Sarode R. Am. J. Hematol 2012 00:000–000. Published online in Wiley Online Library (wileyonlinelibrary.com). DOI: 10.1002/ajh.23179
"Acquired coagulopathies are often detected by laboratory investigation in clinical practice. There is a poor correlation between mild to moderate abnormalities of laboratory test and bleeding tendency. Patients who are bleeding due to coagulopathy are often managed with various blood components including plasma, platelets, and cryoprecipitate. However, prophylactic transfusion of these products in a nonbleeding patient to correct mild to moderate abnormality of a coagulation test especially preprocedure is not evidence-based. This article reviews the management of bleeding due to oral anticoagulants and antiplatelet agents, disseminated intravascular coagulation, chronic liver disease, and trauma."